Active NPI
Melanin Youth Foundation
- Voluntary or Charitable Agency
- Perris, CA
National Provider Identifier
1124999214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- Legal business name
- MELANIN YOUTH FOUNDATION
- Practice address
- 21550 Lane St
Perris, CA 92570-8140 - Phone
- (951) 712-5031
- NPI assigned
- Sep 13, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Krystal Melessia Singh
- Title
- President
- Phone
- (951) 712-5031
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Community Health Worker | 172V00000X | |||
| Health Educator | 174H00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Voluntary or Charitable Agency | 251V00000X | Primary | ||
| Doula | 374J00000X |
Addresses
Primary practice location
21550 Lane St
Perris, CA 92570-8140
Mailing address
19510 Van Buren Blvd.
Ste F3 PMB 152
Riverside, CA 92508-9458
Phone (951) 712-5031
Other practice location 1
1300 Mount Diablo St Ste F3
Perris, CA 92570-1824
Phone (951) 712-5031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013888106 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
19510 Van Buren Blvd
Ste F3
Riverside, CA 92508
Phone (707) 344-8928
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757980800000",
"number": "1124999214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19510 VAN BUREN BLVD.",
"address_2": "STE F3 PMB 152",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925089458",
"telephone_number": "951-712-5031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21550 LANE ST",
"city": "PERRIS",
"state": "CA",
"postal_code": "925708140",
"telephone_number": "951-712-5031"
}
],
"practiceLocations": [
{
"address_1": "1300 Mount Diablo St Ste F3",
"address_purpose": "LOCATION",
"city": "Perris",
"state": "CA",
"postal_code": "925701824",
"country_code": "US",
"telephone_number": "951-712-5031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MELANIN YOUTH FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-13",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A",
"authorized_official_last_name": "SINGH",
"authorized_official_first_name": "KRYSTAL",
"authorized_official_middle_name": "MELESSIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "951-712-5031"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": true
},
{
"code": "374J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013888106",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Perris, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.